Comparing and determining factors associated with hypertension self-care profiles of patients in two multi-ethnic Asian countries: cross-sectional studies between two study populations

Wee, Sabrina Yi-Mei; Salim, Hani; Mawardi, Maliza; Koh, Yi Ling Eileen; Ali, Hanifatiyah; Sazlina, Shariff-Ghazali; Lee, Ping Yein; Ching, Siew Mooi; Shamsuddin, Nurainul Hana; Tan, Ngiap Chuan

doi:10.1136/bmjopen-2020-044192

Cited by 7 publications

(10 citation statements)

References 38 publications

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“…These scores were higher than that found in this study. However, the proportion of participants with CKD and related complications was not reported by Wee YMS et al 41 . In this study, participants have established complications and may have more complex self-care activities to perform.…”

Section: Discussionmentioning

confidence: 89%

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Self-Care, Health Literacy and Their Associations Amongst Patients with Chronic Kidney Disease (CKD) in Primary Care

Koh

Chua

et al. 2022

Preprint

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AimThe study objective was to determine the levels of self-care (including domains of behaviour, motivation, self-efficacy) and health literacy, and study their associations amongst patients with chronic kidney disease (CKD) in primary care setting in Singapore.MethodA cross-sectional, questionnaire-based study was conducted in one public-sector primary care clinic. Participants aged 21 to 80 years with hypertension were recruited from the clinic CKD register with 5,500 patients. Self-care profile (including behaviour, motivation and self-efficacy) were measured using Hypertension Self-Care Profile (HTN-SCP, range 0-240, domain range 0-80). Health literacy was measured using Short-Form Health Literacy Scale (HLS-SF12, range 0-50, limited literacy ≤33).ResultsA total of 347 out of 354 randomly selected patients consented to participate in the study. Two hundred and eighty-nine fully-completed responses were analysed. The mean self-care (HTN-SCP) score was 182.7 (SD 23.2), while mean scores were 55.3 (SD 8.6), 63.3 (SD 8.7), 64.0 (SD 9.3), for behaviour, self-efficacy and motivation domains respectively. The mean health literacy score was 36.1 (SD 7.7), and 31.1% of participants had limited health literacy. Limited health literacy was associated with self-efficacy (OR= −7.2, 95%CI=−9.1 to −5.2, p<0.001), motivation (OR= −6.1, 95%CI=−8.3 to −3.9, p<0.001) and behaviour (OR= −4.5, 95%CI=−6.6 to −2.4, p<0.001). Self-care was not associated with age, CKD status, household income and education but was associated with gender and limited health literacy. In the final regression model only limited health literacy was associated with self-care scores (Adjusted beta −17.4, p<0.001).ConclusionOne-third of the patients with CKD in primary care had limited health literacy. Self-care was not associated with age, gender, CKD status, household income or education. Limited health literacy was associated with self-care, with strongest association with self-efficacy, followed by motivation and behaviour. More targeted approach can be adopted to improve self-care and health literacy amongst patients with CKD.

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Section: Discussionmentioning

confidence: 89%

“…It would be difficult to compare self-care levels across populations without considering various factors like measurement instrument used. In another local primary care study by Wee YMS et al 41 in 2016/17 using the same instrument, the self-care score was reported as 190 (SD 28)…”

Section: Discussionmentioning

confidence: 99%

Self-Care, Health Literacy and Their Associations Amongst Patients with Chronic Kidney Disease (CKD) in Primary Care

Koh

Chua

et al. 2022

Preprint

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“…In the quantitative and mixed-method studies, body weight management (29 studies 20 , 24 , 25 , 29 , 30 , 33 , 36 , 39–50 , 52 , 53 , 56–62 , 64 ) and physical exercise (22 studies 21 , 22 , 24 , 30–33 , 35 , 38 , 40–43 , 45 , 47 , 52 , 53 , 56 , 57 , 60 , 61 , 75 ) were the most reported, whereas in the qualitative studies, medication adherence and diet intake was the most reported self-care practice. In addition, a few studies described alternative self-care management methods such as stress-relieving methods (6 studies 35 , 40 , 60 , 66 , 68 , 75 ), sleep and rest (2 studies 68 , 74 ), and spiritual fulfilment was described in one study.…”

Section: Self-care and Lifestyle Managementmentioning

confidence: 99%

“…A study with the largest sample (313,714) was conducted by Nurdiantami et al 24 Sample sizes ranged from 5 to 30 participants in the qualitative studies reviewed. For study settings, in quantitative and mixed-method studies, 10 studies took place nationally, 24,41,[47][48][49][50][51]53,63,64 19 in the urban areas, 20,21,23,[31][32][33][36][37][38]40,42,[44][45][46]52,54,55,58,76 16 in rural areas, 22,[25][26][27][28][29]34,39,43,56,57,[59][60][61][62]75 and two studies in multiple settings. 30,35 For quantitative studies, four of them were conducted in urban settings, …”

Section: Study Characteristicsmentioning

confidence: 99%

“…30,35 For quantitative studies, four of them were conducted in urban settings, 66,67,70,71 five were in the rural area 65,69,[72][73][74] and one study could not be specified. 68 Overall, thirteen 22,[26][27][28][29]32,42,45,[57][58][59][60]64 studies have the mean age of older people as the participants (60 years old and above), whereas the rest of the studies were adults 18 years and older.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Self-Care Management for Hypertension in Southeast Asia: A Scoping Review

Irwan¹,

Potempa²,

Abikusno³

et al. 2022

JMDH

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Background Self-care practices such as lifestyle modifications in diet, exercise, and stress management are effective in reducing the incidence of and enhancing better management of hypertension. However, little is known about the self-care management practices of people with hypertension in Southeast Asia (SEA) countries where the prevalence of hypertension is sharply increasing. Methods A scoping review of research and grey literature (2006–2021) was performed using Scoping Review Frameworks by Arkey and O’Malley. For the research literature, ten databases were searched followed by a manual search of the reference lists of relevant topical papers. Criteria for inclusion included both qualitative and quantitative primary data studies, focused on adult (18 years and over) hypertensive patients, self-care management methods, conducted in SEA. The study protocol has been registered at Open Science Framework ( https://osf.io/s4nvk/ ). Results Out of 1667 studies examined, there were 57 studies that met criteria and were included in this review. Results indicate a paucity of relevant literature. Moreover, most studies reviewed showed an incident rate of 50% or more incidence of behavioural risk factors in people diagnosed with hypertension, including overweight/obesity, poor physical exercise, poor/low-quality dietary intake, and not adhering to medication. Few studies indicated adequate traditional self-care practice among SEA hypertension populations. Use of a non-prescription herbal as the medication is identified in some studies. Several reviewed articles indicated that there is individual variation in the facilitators and barriers to implementing self-care practices and we put it into a working framework. The facilitators and barriers are relevant to personal choice (internal factors) or to the environment or context (external factors). Conclusion Enhancing self-care management of hypertension in SEA may require a multi-focused approach including targeting personal choice as well as external factors such as cultural relevance, environment, and resources.

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Comparison of two instruments for hypertension self‐care assessments among older adults from China

Qiao

Guo

et al. 2022

Nursing Open

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Aim To test and compare the Self‐Care of Hypertension Inventory (SC‐HI) and Hypertension Self‐Care Profile (HBP SCP) among older patients with hypertension in China. Design A cross‐sectional observational study. Methods A convenience sampling of 220 older adults (120 male patients and 100 female patients) with hypertension and a mean age of 73.74 years was surveyed using the Chinese version of SC‐HI, the Chinese version of HBP SCP and the Chinese version of Exercise of Self‐Care Agency Scale (ESCA) during July‐September 2019. Psychometric analyses and Receiver Operating Characteristic curve analyses were performed on the collected data. Results The Cronbach's α of SC‐HI and HBP SCP was 0.858 and 0.953, respectively. The Pearson's coefficients between the SC‐HI total score and the ESCA total score, the HBP SCP total score and the ESCA total score were 0.494 and 0.700, respectively. The satisfactory sensitivity, specificity, cut‐off point and Area under the curve of SC‐HI were 0.8292, 0.5495, 120.5 and 0.754, respectively. As for HBP SCP, the values were 0.7907, 0.7582, 169.5 and 0.838, respectively. There was no significant difference between these two scales. Each has its own characteristics. However, the HBP SCP is more precise and effective for measuring self‐care ability in older patients.

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Comparing and determining factors associated with hypertension self-care profiles of patients in two multi-ethnic Asian countries: cross-sectional studies between two study populations

Cited by 7 publications

References 38 publications

Self-Care, Health Literacy and Their Associations Amongst Patients with Chronic Kidney Disease (CKD) in Primary Care

Self-Care, Health Literacy and Their Associations Amongst Patients with Chronic Kidney Disease (CKD) in Primary Care

Self-Care Management for Hypertension in Southeast Asia: A Scoping Review

Comparison of two instruments for hypertension self‐care assessments among older adults from China

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